| Wichita Physical Therapy Group, Llc | |
| 
					2146 N Collective Ln Ste 114, Wichita, KS 67206-3574  | |
| (316) 259-6494 | |
| Not Available | 
| Full Name | Wichita Physical Therapy Group, Llc | 
|---|---|
| Type | Facility | 
| Speciality | Physical Therapist | 
| Location | 2146 N Collective Ln Ste 114, Wichita, Kansas | 
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1306429345 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary | 
| Provider Name | Mark F Gaddis | 
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1992731525 PECOS PAC ID: 2860407608 Enrollment ID: I20060215000179  | 
| Provider Name | Jonathan Y Harris | 
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1336160134 PECOS PAC ID: 6800891235 Enrollment ID: I20060919000102  | 
| Provider Name | Keenan Dung | 
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1912683384 PECOS PAC ID: 2668832411 Enrollment ID: I20230712002540  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Wichita Physical Therapy Group, Llc 2146 N Collective Ln Ste 114, Wichita, KS 67206-3574 Ph: () -  | Wichita Physical Therapy Group, Llc 2146 N Collective Ln Ste 114, Wichita, KS 67206-3574 Ph: (316) 259-6494  | 
Alice Chiedzo Hakata, PT. MED. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2828 N. Governeour, Larksfield Place, Wichita, KS 67226 Phone: 316-636-1111 Fax: 316-858-3971  | |
Caroline Geisler, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2757 S Seneca St Ste B, Wichita, KS 67217 Phone: 316-260-3311 Fax: 316-260-6696  | |
Samuel Page, DPT, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 929 N Saint Francis Ave, Wichita, KS 67214 Phone: 316-268-5000  | |
Jill D Austin, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 11120 E 26th St N, Ste 1300, Wichita, KS 67226 Phone: 316-858-1177 Fax: 316-858-1178  | |
Caitlyn Garrison,  Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3223 N Oliver St, Wichita, KS 67220 Phone: 316-267-5437  | |
Mr. Jay Franz, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 8620 E 34th St N, Wichita, KS 67226 Phone: 316-630-0388 Fax: 316-630-0390  | |
Susan O Scholl, L.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5500 E Kellogg Dr, Wichita, KS 67218 Phone: 316-634-3040  |